33D2086081 CLIA NUMBER - US RENAL CARE PELHAM PARKWAY DIALYSIS

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Laboratory Demographics

CLIA Number: 33D2086081

Facility Name: US RENAL CARE PELHAM PARKWAY DIALYSIS

Facility Address:
1225 A MORRIS PARK AVE
BRONX, NY
ZIP 10461
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Facility Phone Number: 718 409-1909

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1033582283

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2086081
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	US RENAL CARE PELHAM PARKWAY DIALYSIS
Street	1225 A MORRIS PARK AVE
City	BRONX
State	NY
ZIP	10461
Phone	718 409-1909
CertificateType	4
CertificateEffectiveDate	10/28/2014
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024